Tesis

Pengaruh Latihan Terapeutik Side-Stepping pada Pasien Osteoartritis Lutut = Effect of Side-Stepping Therapeutic Exercise on Knee Osteoarthritis Patients.

Penelitian ini bertujuan untuk mengetahui pengaruh latihan terapeutik sidestepping dalam tatalaksana pasien OA lutut setelah 6 minggu latihan di rumah. Penelitian ini merupakan studi intervensi one group pre and post test design pada pasien OA lutut yang datang berobat ke Poliklinik Rehabilitasi Medik RSUPN Cipto Mangunkusumo Jakarta. Sebelum melakukan latihan, setiap subjek melakukan uji latih oleh peneliti untuk menentukan 10-RM yang digunakan selanjutnya sebagai dosis latihan. Penilaian kekuatan otot kuadriseps, hamstring, gluteus medius, dan gluteus maksimus menggunakan HHD. Pengukuran kecepatan berjalan berdasarkan uji jalan 15 meter. Penelitian ini melibatkan 9 orang subjek berjenis kelamin perempuan usia 55,67 ± 2,44 tahun, pekerjaan sebagian besar adalah ibu rumah tangga (55,6%), tingkat pendidikan subjek di dominasi oleh diploma (44,4%), status gizi subjek berdasarkan IMT di dominasi oleh overweight (55,6%), dan dengan KL derajat 2 (88,9%). Setelah diberikan intervensi berupa latihan terapeutik side-stepping selama 6 minggu, didapatkan peningkatan kekuatan otot kuadriseps, hamstring, gluteus medius, dan gluteus maksimus serta peningkatan kecepatan berjalan berdasarkan uji jalan 15 meter secara signifikan dengan nilai p < 0,05. Hasil uji repeated Anova menunjukkan bahwa terdapat perbedaan yang signifikan pada seluruh komponen kekuatan otot serta kecepatan berjalan (p < 0,05). Kesimpulan penelitian ini adalah latihan terapeutik side-stepping dapat meningkatkan kekuatan otot kuadriseps, hamstring, gluteus medius, gluteus maksimus, serta kecepatan berjalan pada pasien OA lutut setelah 6 minggu latihan, dan perbedaan tersebut menunjukkan hasil yang bermakna secara statistik.
Kata kunci: Osteoartritis lutut, latihan, side-stepping, kekuatan otot, uji jalan 15 meter


This study aims to determine the effect of side-stepping therapeutic exercise in the management of knee OA patients after 6 weeks of exercise at home. This research is an intervention study of one group pre and post test design in knee OA patients who come for treatment at the Medical Rehabilitation Polyclinic of Cipto Mangunkusumo General Hospital, Jakarta. Before doing the exercise, each subject did a training test by the researcher to determine the 10-RM to be used next as the training dose. Assessment of the strength of the quadriceps, hamstring, gluteus medius, and gluteus maximus muscles using the HHD. Measurement of walking speed based on 15 meters walk test. This study involved 9 female subjects aged 55.67 ± 2.44 years, most of the occupations were housewives (55.6%), the subject's education level was dominated by a diploma (44.4%), the nutritional status of the subject based on BMI dominated by overweight (55.6%), and with KL grade 2 (88.9%). After being given intervention in the form of side-stepping therapeutic exercise for 6 weeks, there was a significant increase in the strength of the quadriceps, hamstring, gluteus medius, and gluteus maximus muscles as well as a significant increase in walking speed based on the 15-meter walking test with p < 0.05. The results of the repeated Anova test showed that there were significant differences in all components of muscle strength and walking speed (p < 0.05). This study concludes that side-stepping therapeutic exercise can increase the strength of the quadriceps, hamstring, gluteus medius, gluteus maximus, and walking speed in knee OA patients after 6 weeks of exercise, and these differences show statistically significant results.
Keywords: Knee osteoarthritis, exercise, side-stepping, muscles strength, 15 meters walk test